死亡报告卡管理现状调查与对策

An Investigation on the Death Report Cards and the Countermeasures

目的调查死亡报告卡的管理现状并探讨增强其监测效果和预警能力的方法。方法采用书信访问的方式对14所综合性医院进行了相关的问卷调查。结果85.7%的医院规定死亡报告卡的院内上报时间为病人死亡的当日和次日,客观地造成了死亡报告卡早于病案的回收时间,在死亡报告卡不能完全满足编码需求的情况下,可能会出现编码不准而导致死亡疾病信息失误的现象,从而失去或降低死亡统计的监测效果和预警能力。结论医院在上级部门允许的范围内,推迟死亡报告卡的院内上报时间而要求报告卡与病案一起回收,这是解决存在问题的最好方法;其次是在死亡报告卡上增设内容,以完全满足编码的需求。

Objective： To investigate the status quo of of the Management report cards of the deaths and explore effectively monitorring and early warning capabilities to enhance its way. Methods： Visiting 14 general hospitals and sending questionnaire survey to them incorrespondence. Results： 85.7% of the death report cards are submitted on the day when the death happens or on the next day, whichobjectively leads the result that the death report cards are returned earlier than the medical records. As a result, the time of the deaths inthe report cards fail to fully meet the demands of the coding, resulting wrong information of deaths and diseases, losing or reducing mortality statistics monitoring and early warning capability on the resuits. Conclusion： The permission on the extension of time ofhanding in the death report cards is needed, so as to keep the collection of the death report cards and the medical record insynchronization, which is the best way to solve the problem, in addition, some contents should be added to the death report card to satisfytbe demand for coding.